BRIAN GRUEZO ZAMORA


Address: 1313 Carolina St Ste 103, Greensboro, NC 27401
Phone: 3362722625

BRIAN GRUEZO ZAMORA (NPI# 1225304553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225304553
Entity Type Individual
Full Name BRIAN GRUEZO ZAMORA
Credential M.D./PH.D.
Practice Address 1313 Carolina St Ste 103
Greensboro
NC 27401
Mailing Address 1313 Carolina St Ste 103
Greensboro
NC 27401-6003
Practice Telephone 3362722625
Mailing Telephone 3362722625
Enumeration Date 2012-03-30
Last Update Date 2018-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 2016-00470 NC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Y 207WX0107X Ophthalmology
Specialization: Retina Specialist
2016-00470 NC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Medical Center Blvd, Winston Salem, NC 271570001 3367164091

Office Location

Street Address 1313 CAROLINA ST STE 103
City GREENSBORO
State NC
Zip Code 27401

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1225636848 Alma Lucero Diaz Registered Nurse 1121 North Church St, Greensboro, NC 27401 2020-10-15
1447865217 Rebecca Levy Marriage & Family Therapist Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 2020-09-09
1346854304 Rayna's Home Care, LLC Registered Nurse 823 North Elm Street, Greensboro, NC 27401 2020-09-06
1316574718 Garrett Green Physician Assistant 1121 N Church St., Greensboro, NC 27401 2020-03-25
1629635685 Lauren Robinson Byrd Anesthesiology 1200 North Church St, Greensboro, NC 27401 2019-05-24
1285103069 Shannon Marie Childs Meyerhoff Occupational Therapist Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 2018-11-21
1194293241 Ashley Marie Smith Nurse Practitioner 1200 North Elm St, Greensboro, NC 27401 2018-11-07
1285117762 Anastazia Juszczak Gray Speech-Language Pathologist 1131 N. Church St, Greensboro, NC 27401 2018-09-11
1619474012 Jamie Hannah Rose Aldridge Psychiatry & Neurology 1121 N Church Street, Greensboro, NC 27401 2018-04-11
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Taxonomy Information

Taxonomy Code 207WX0107X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Retina Specialist

Taxonomy Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new]
- Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154526192 Jeremy Shaw Ophthalmology Duke Eye Center Dumc 3802, Durham, NC 27710-0001 2007-06-19
1922457464 Oleg Alekseev Ophthalmology 2351 Erwin Rd, Durham, NC 27705-4699 2016-06-06
1689048423 Central Triad Retina, Pa Ophthalmology 3333 Brookview Hills Blvd, Suite 107, Winston Salem, NC 27103-5661 2015-11-17

Competitor

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City GREENSBORO
Zip Code 27401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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